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Amount
*
$1,000
$500
$300
$75
$50
$
One Time or Recurring?
One Time
Monthly
Quarterly
Yearly
Recurring Donation End Date
(mm/dd/yyyy)
Donor Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Company/Organization Name
Please recognize my donation under my company/organization name.
Anonymous Donation
Kismet Rock Foundation will see your information, but will not publicly acknowledge your donation if you choose yes. Would you like this donation to be anonymous?
Yes
Donation Options
Dedication
Would you like to dedicate your donation in honor or in memory of someone?
Yes
Dedication - Honor or Memory
Is this dedication in honor or in memory of someone?
In Honor
In Memory
Dedication Name
Dedication Notification
If you would like us to notify someone about this dedication, please enter the recipient name, email address, and a message (optional).
Company Match
My company will match my gift!
Yes, please contact me about my company match.
Comment
Add 3% to my total amount to help cover the payment processing fees.